Organization
VIVERANT INTEGRATIVE CLINIC LLC
Active
Other names
Viverant Integrative Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JO LEIGH HOLLAND (OWNER)
(812) 255-1699
Entity
Organization
Contact information
Practice address
335 SPRING ST STE B, JEFFERSONVILLE, IN 47130-4480
(812) 255-1699
Mailing address
300 SPRING ST STE 3B, JEFFERSONVILLE, IN 47130-3498
(812) 255-1699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/18/2020
Last updated
04/05/2024
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